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1013975150
MICHAEL JAMES WIEDMEYER
WEST BEND, WI
NPI
1013975150
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WI 33507-031)
Enumeration Date
2006-05-01
Last Update Date
2007-07-09
Business Address
Mr. MICHAEL JAMES WIEDMEYER L.P.N.
820 DECKER DR
WEST BEND, WI 53090-2341
Phone number: 262-306-9815
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Mailing Address
Mr. MICHAEL JAMES WIEDMEYER L.P.N.
820 DECKER DR
WEST BEND, WI 53090-2341
Phone number: 262-306-9815
Copy
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